共查询到20条相似文献,搜索用时 15 毫秒
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J. -C. Saurin 《C?lon & Rectum》2009,3(3):177-179
Lynch syndrome is associated with increased risks of non-colonic cancers in several sites such as uterus, bladder, stomach, small intestine and biliary tract. There are today enough evidence to recommend systematic screening of uterus, stomach and urinary tracts but follow-up strategies need to be clarified. 相似文献
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Une cause de difficulté de sevrage de la ventilation artificielle: la polyneuropathie de réanimation
《Annales fran?aises d'anesthèsie et de rèanimation》1995,14(2):209-212
Three cases of Critically Illness Polyneuropathy (CIP) are reported. The difficulty of weaning the patients from the ventilator, whereas sepsis and MOF had been successefully treated, was the main feature in the three cases. The diagnosis was established by electromyogram, showing a primary axonal denervation of peripheral nerve fibres, which was confirmed by a pathological study in one patient. 相似文献
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《Actas urologicas espa?olas》2001,25(8):559-566
ObjetiveTo evaluate the surgical complications of radical prostatectomy in our hospitalPatients and methodFrom august 1991 to december 1999, 138 patients with clinicaly localized prostate cancer underwent Walsh technique radical prostatectomy. The follow-up is known from 133 patients with a mean age of 64,8% and a mean PSA of 17,6 ng/mlResultsThe mean follow-up is 43 months. Urinary fistula (9%), lymphatic leakage (5,22%) and rectal injury (2,2%) are the most common early complications. Urinary incontinence (27%), erectly dysfunction (98%) and uretrovesical junction stenosis (12%) are the delay complications. Only three patients have died due to prostate cancer. Our results are compared with another seriesConclusionsThe morbidity of radical prostatectomy is very similar to the compared series. Urinary incontinence and erectly dysfunction are the most worrying complications which the patient must know to have the opportunity to choose another therapeutic option 相似文献
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Enrique Colás-Ruiz Juan Antonio Del-Moral-Luque Pablo Gil-Yonte José María Fernández-Cebrián Marcos Alonso-García María Concepción Villar-del-Campo Manuel Durán-Poveda Gil Rodríguez-Caravaca 《Cirugía espa?ola》2018,96(10):640-647
Introduction
Surgical site infection (SSI) is the main cause of nosocomial infection in Spain. The aim of this study was to analyze the incidence of SSI and to evaluate its risk factors in patients undergoing rectal surgery.Methods
Prospective cohort study, conducted from January 2013 to December 2016. Patient, surgical intervention and infection variables were collected. Infection rate was calculated after a maximum period of 30 days of incubation. The effect of different risk factors on infection was assessed using the odds ratio adjusted by a logistic regression model.Results
The study included 154 patients, with a mean age of 69.5 ± 12 years. The most common comorbidities were diabetes mellitus (24.5%), chronic obstructive pulmonary disease (17%) and obesity (12.6%). The overall incidence of SSI during the follow-up period was 11.9% (CI95%: 7.8-17.9) and the most frequent microorganism was Escherichia coli (57.9%). Risk factors associated with surgical wound infection in the univariate analysis were blood transfusion, drain tubes and vasoactive drug administration (P<.05).Conclusions
The incidence of SSI in rectal surgery was low. It is crucial to assess SSI incidence rates and to identify possible risk factors for infection. We recommend implementing surveillance and hospital control programs. 相似文献14.
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《Annales fran?aises d'anesthèsie et de rèanimation》1997,16(3):304-306
With monochromatic infrared gas spectrometers (MIS), the displayed concentration is computed from measured IR absorption and a gain factor specific for the selected volatile agent (VA). As MIS cannot detect which VA is actually present, the displayed concentration can be very different from the actual one. As bottles and vaporizers are very specific for desflurane, it is impossible to misfill a vaporizer;however an erroneous selection of VA on MIS remains possible. The aim of this study was to assess the displayed concentrations after erroneous vapour selection on the monitor. When either desflurane, or isoflurane or enflurane were delivered at constant concentrations, all VA measured by the MIS, namely desflurane, sevoflurane, isoflurane, enflurane and halothane were successively selected and the displayed concentrations compared with the actual vapour concentration using a Capnomac™ Ultima (Datex) monitor.Consequences of erroneous selection can be included in three categories: 1) dangerous error, when a displayed concentration is much lower than the actual one, eg desflurane or sevoflurane erroneously selected;2) evident error, when displayed concentration is much higher than 10 vol%;3) inconfortable situation, when displayed and actual concentrations are similar, eg isoflurane erroneously selected instead of desflurane. This error can only be detected by a careful checking of the device. 相似文献
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B. Mathon A. Carpentier S. Clemenceau A.-L. Boch A. Bitar K. Mokhtari C. Adam L. Dainese D. Galanaud F. Kalfon P. Cornu 《Neuro-Chirurgie》2012,58(6):341-345
Background and purposeParagangliomas of the cauda equina are rare tumors. The standard treatment is surgical resection. Our study aims to compare our clinical, radiological, prognostic data to the literature and to offer management and follow-up recommendations.MethodsIn this retrospective study, six patients with paraganglioma of the cauda equina region were treated. Symptoms included radicular nerve pain and low back pain with occasional sphincter dysfunction and motor deficit. MRI showed well-circumscribed lesions with homogeneous enhancement following gadolinium injection. Treatment involved complete surgical resection of the tumor under electrophysiological control. In addition to the characteristics of the tumor, we assessed operating results as well as postoperative morbidity and follow-up.ResultsAll patients had complete removal of the tumor, which required in most cases the resection of the carrying root. The intervention allowed a regression of the initial symptoms, with possible postoperative regressive sphincter disorders. Clinical and radiological follow-up (19 months on average), showed no tumor recurrence.ConclusionsThe reference treatment of these tumors is complete surgical resection, usually requiring the sacrifice of the carrying nerve root. Intra-operative nerve roots stimulation is recommended to reduce the risk of motor deficit linked to this radical treatment. A long-term clinical and radiological follow-up is recommended. 相似文献
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Vilma Mejía Carlos Gonzalez Alejandro E. Delfino Fernando R. Altermatt Marcia A. Corvetto 《Brazilian Journal of Anesthesiology》2018,68(3):292-298